| NPI | 1851440481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND CAPUTO Owner 770-592-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2011-10-25 |